MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2009-04-07 for PATIENT SCALE M3813B manufactured by Philips Healthcare.
[2726947]
The customer reported that one of their patients fell off the philips m3813b weight scale, was subsequently rushed to the hospital, underwent surgery, and expired due to surgical complications.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1218950-2009-00410 |
| MDR Report Key | 2623771 |
| Report Source | 99 |
| Date Received | 2009-04-07 |
| Date of Report | 2009-03-25 |
| Date of Event | 2009-03-18 |
| Date Added to Maude | 2012-06-25 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | PATTI NILL |
| Manufacturer Street | 3000 MINUTEMAN RD. |
| Manufacturer City | ANDOVER MA 01810 |
| Manufacturer Country | US |
| Manufacturer Postal | 01810 |
| Manufacturer Phone | 9786593769 |
| Single Use | 0 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PATIENT SCALE |
| Product Code | FRW |
| Date Received | 2009-04-07 |
| Model Number | M3813B |
| Catalog Number | M3813B |
| Lot Number | 3813B0007941 |
| ID Number | 3813B0007941 |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PHILIPS HEALTHCARE |
| Manufacturer Address | 3000 MINUTEMAN RD. ANDOVER MA 01810 US 01810 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death | 2009-04-07 |